Tri-state Eecp

NPI 1205006962 - Internal Medicine - 207R00000X

NPI Details
NPI 1205006962
Enumeration Date 03/08/2008
Last Updated 06/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JASON H JASON
Position MANAGER
Phone (304) 522-3773
Fax
Practice Location
2900 1ST AVE
HUNTINGTON WV, 25702-1241, US
Phone (304) 522-3773
Fax
Business Location
PO BOX 997
HUNTINGTON WV, 25713-0997, US
Phone (304) 522-3773
Fax
Toxanomy
Taxonomy Code 207R00000X
License State West Virginia
License Number 18236
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According to our database, Tri-state Eecp NPI is 1205006962, taxonomy code is 207R00000X and license number is 18236, license state is located at West Virginia. Tri-state Eecp physically located at 2900 1st Ave, Huntington WV, 25702-1241. NPI Number 1033115704 has the healthcare provider type.

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1205006962 NPI number is provided on an as is basis without warranty of any kind. 1205006962 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Eecp are for informational purposes only.